{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T05:26:06Z","timestamp":1770355566846,"version":"3.49.0"},"reference-count":40,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"7","license":[{"start":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T00:00:00Z","timestamp":1629072000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,8,16]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Trigeminocardiac reflex (TCR) is a brainstem reflex caused by stimulation of the trigeminal nerve, which results in bradycardia, hypotension, and asystole. TCR can occur during any neurosurgical procedure. Initially, it is managed via the immediate removal of the stimulus from the trigeminal nerve. If asystole persists after intravenous atropine or glycopyrrolate, chest compression or transcutaneous cardiac pacing may be considered. The authors present the first case of TCR that was successfully managed with transcutaneous cardiac pacing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 51-year-old man presented with aneurysmal subarachnoid hemorrhage. Although he had no history of cardiac disease and there were no abnormal findings on electrocardiography, transient asystole due to TCR occurred during craniotomy. The patient\u2019s heart rate spontaneously recovered after the immediate discontinuation of the procedure. The authors completed aneurysm clipping with transcutaneous cardiac pacing because intravenous atropine was not effective in preventing TCR. There were no complications associated with intraoperative asystole or transcutaneous cardiac pacing, and the patient was discharged without neurological deficits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>TCR can be appropriately managed with the immediate discontinuation of intraoperative procedures. Furthermore, transcutaneous cardiac pacing may be considered for persistent TCR with poor response to intravenous atropine or glycopyrrolate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case21198","type":"journal-article","created":{"date-parts":[[2021,8,23]],"date-time":"2021-08-23T03:03:27Z","timestamp":1629687807000},"source":"Crossref","is-referenced-by-count":1,"title":["Efficacy of transcutaneous cardiac pacing for transient asystole caused by trigeminocardiac reflex: illustrative case"],"prefix":"10.3171","volume":"2","author":[{"given":"Shuhei","family":"Yamada","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Hanwa Memorial Hospital, Osaka, Japan; and"},{"name":"Department of Neurosurgery, Graduate School of Medicine, Osaka University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihiro","family":"Yano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hanwa Memorial Hospital, Osaka, Japan; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiaki","family":"Fujita","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hanwa Memorial Hospital, Osaka, Japan; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mamoru","family":"Taneda","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hanwa Memorial Hospital, Osaka, Japan; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"5","key":"b1","series-title":"Medicine (Baltimore)","doi-asserted-by":"publisher","first-page":"e484","DOI":"10.1097\/MD.0000000000000484","article-title":"Trigeminal cardiac reflex: new thinking model about the definition based on a literature review","volume":"94","author":"Meuwly C","year":"2015","unstructured":"Meuwly C, Golanov E, Chowdhury T, Erne P, Schaller B. Trigeminal cardiac reflex: new thinking model about the definition based on a literature review. Medicine (Baltimore). 2015;94(5):e484.10.1097\/MD.000000000000048432868520"},{"issue":"3","key":"b2","series-title":"J Neurosurg Anesthesiol","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1097\/ANA.0b013e3181a2bf22","article-title":"The trigemino-cardiac reflex: an update of the current knowledge","volume":"21","author":"Schaller B","year":"2009","unstructured":"Schaller B, Cornelius JF, Prabhakar H,  The trigemino-cardiac reflex: an update of the current knowledge. J Neurosurg Anesthesiol. 2009;21(3):187\u2013195.10.1097\/ANA.0b013e3181a2bf2223045405"},{"key":"b3","series-title":"J Neurosurg Anesthesiol","article-title":"Brain and heart crosstalk during neurointerventional procedures: the role of the trigeminocardiac reflex: an updated systematic review","author":"Chowdhury T","unstructured":"Chowdhury T, Rizk AA, Azazi EA, Venkatraghavan L, Shankar JS, Schaller B. Brain and heart crosstalk during neurointerventional procedures: the role of the trigeminocardiac reflex: an updated systematic review. J Neurosurg Anesthesiol. Published online August 28, 2020. doi: https:\/\/doi.org\/10.1097\/ANA.0000000000000723.16675939"},{"issue":"3","key":"b4","series-title":"J Neurosurg Anesthesiol","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1097\/ANA.0b013e3182204c2c","article-title":"Trigeminocardiac reflex during temporary clipping in aneurismal surgery: first description","volume":"23","author":"Spiriev T","year":"2011","unstructured":"Spiriev T, Kondoff S, Schaller B. Trigeminocardiac reflex during temporary clipping in aneurismal surgery: first description. J Neurosurg Anesthesiol. 2011;23(3):271\u2013272.10.1097\/ANA.0b013e3182204c2c"},{"issue":"10","key":"b5","series-title":"No Shinkei Geka","first-page":"903","article-title":"A case of trigeminocardiac reflex in the pterional approach. Article in Japanese","volume":"40","author":"Kitabayashi M","year":"2012","unstructured":"Kitabayashi M, Nakamura K, Murata T. A case of trigeminocardiac reflex in the pterional approach. Article in Japanese. No Shinkei Geka. 2012;40(10):903\u2013907.32868520"},{"issue":"8","key":"b6","series-title":"Jpn J Neurosurg","doi-asserted-by":"publisher","first-page":"673","DOI":"10.7887\/jcns.23.673","article-title":"Transient asystole during surgery for intracranial unruptured aneurysms caused by excitation of the trigemino-vagal reflex: two case reports","volume":"23","author":"Shibata T","year":"2014","unstructured":"Shibata T, Sakai N, Tani S,  Transient asystole during surgery for intracranial unruptured aneurysms caused by excitation of the trigemino-vagal reflex: two case reports. Jpn J Neurosurg. 2014;23(8):673\u2013677.10.7887\/jcns.23.67323045405"},{"issue":"12","key":"b7","series-title":"Brain Sci","doi-asserted-by":"publisher","first-page":"973","DOI":"10.3390\/brainsci10120973","article-title":"Trigeminocardiac reflex induced by maxillary nerve stimulation during sphenopalatine ganglion implantation: a case series","volume":"10","author":"Hammad Y","year":"2020","unstructured":"Hammad Y, Mootz A, Klein K, Zuniga JR. Trigeminocardiac reflex induced by maxillary nerve stimulation during sphenopalatine ganglion implantation: a case series. Brain Sci. 2020;10(12):973.10.3390\/brainsci1012097316675939"},{"issue":"5","key":"b8","series-title":"Anaesthesia","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1111\/j.1365-2044.1988.tb09042.x","article-title":"Bradycardia and facial surgery [letter]","volume":"43","author":"Shelly MP","year":"1988","unstructured":"Shelly MP, Church JJ. Bradycardia and facial surgery [letter]. Anaesthesia. 1988;43(5):422.10.1111\/j.1365-2044.1988.tb09042.x"},{"issue":"2","key":"b9","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"215","DOI":"10.3171\/jns.1999.90.2.0215","article-title":"Trigeminocardiac reflex during surgery in the cerebellopontine angle","volume":"90","author":"Schaller B","year":"1999","unstructured":"Schaller B, Probst R, Strebel S, Gratzl O. Trigeminocardiac reflex during surgery in the cerebellopontine angle. J Neurosurg. 1999;90(2):215\u2013220.10.3171\/jns.1999.90.2.0215"},{"issue":"5","key":"b10","series-title":"J Japan Soc Clin Anesth","doi-asserted-by":"publisher","first-page":"795","DOI":"10.2199\/jjsca.32.795","article-title":"Cardiac arrest during endoscopic transsphenoidal pituitary surgery","volume":"32","author":"Onodera Y","year":"2012","unstructured":"Onodera Y, Takaoka S, Oda S,  Cardiac arrest during endoscopic transsphenoidal pituitary surgery. J Japan Soc Clin Anesth. 2012;32(5):795\u2013797.10.2199\/jjsca.32.795"},{"issue":"6","key":"b11","series-title":"Clin Neurol Neurosurg","doi-asserted-by":"publisher","first-page":"468","DOI":"10.1016\/j.clineuro.2004.12.004","article-title":"Trigemino-cardiac reflex during transsphenoidal surgery for pituitary adenomas","volume":"107","author":"Schaller B","year":"2005","unstructured":"Schaller B. Trigemino-cardiac reflex during transsphenoidal surgery for pituitary adenomas. Clin Neurol Neurosurg. 2005;107(6):468\u2013474.10.1016\/j.clineuro.2004.12.004"},{"key":"b12","series-title":"BMJ Case Rep","doi-asserted-by":"publisher","first-page":"bcr2017221033","DOI":"10.1136\/bcr-2017-221033","article-title":"Posterior meningeal artery DMSO injection resulting in reproducible asystole prior to Onyx therapy of a dural arteriovenous fistula: a previously undescribed variant of the trigeminocardiac reflex or a new phenomenon?","volume":"2017","author":"Crockett MT","year":"2017","unstructured":"Crockett MT, Robinson AE, Aneja H, Phillips TJ. Posterior meningeal artery DMSO injection resulting in reproducible asystole prior to Onyx therapy of a dural arteriovenous fistula: a previously undescribed variant of the trigeminocardiac reflex or a new phenomenon? BMJ Case Rep. 2017;2017:bcr2017221033.10.1136\/bcr-2017-221033"},{"issue":"3","key":"b13","series-title":"J Neurosurg Anesthesiol","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1097\/ANA.0b013e31804e45e8","article-title":"Sudden cardiac standstill during skin flap elevation in a patient undergoing craniotomy","volume":"19","author":"Prabhakar H","year":"2007","unstructured":"Prabhakar H, Rath GP, Arora R. Sudden cardiac standstill during skin flap elevation in a patient undergoing craniotomy. J Neurosurg Anesthesiol. 2007;19(3):203\u2013204.10.1097\/ANA.0b013e31804e45e8"},{"issue":"6","key":"b14","series-title":"Can J Anaesth","doi-asserted-by":"publisher","first-page":"757","DOI":"10.1007\/BF03008454","article-title":"Trigeminocardiac reflexes: maxillary and mandibular variants of the oculocardiac reflex","volume":"38","author":"Lang S","year":"1991","unstructured":"Lang S, Lanigan DT, van der Wal M. Trigeminocardiac reflexes: maxillary and mandibular variants of the oculocardiac reflex. Can J Anaesth. 1991;38(6):757\u2013760.10.1007\/BF03008454"},{"issue":"9342","key":"b15","series-title":"Lancet","doi-asserted-by":"publisher","first-page":"1267","DOI":"10.1016\/S0140-6736(02)11314-6","article-title":"International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial","volume":"360","author":"Molyneux A","year":"2002","unstructured":"Molyneux A, Kerr R, Stratton I,  International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial. Lancet. 2002;360(9342):1267\u20131274.10.1016\/S0140-6736(02)11314-6"},{"issue":"3","key":"b16","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"771","DOI":"10.3171\/2018.8.JNS181846","article-title":"Ten-year analysis of saccular aneurysms in the Barrow Ruptured Aneurysm Trial","volume":"132","author":"Spetzler RF","year":"2019","unstructured":"Spetzler RF, McDougall CG, Zabramski JM,  Ten-year analysis of saccular aneurysms in the Barrow Ruptured Aneurysm Trial. J Neurosurg. 2019;132(3):771\u2013776.10.3171\/2018.8.JNS181846"},{"issue":"4","key":"b17","series-title":"Neurol Med Chir (Tokyo)","doi-asserted-by":"publisher","first-page":"339","DOI":"10.2176\/nmc.50.339","article-title":"Transient asystole during surgery for posterior fossa meningioma caused by activation of the trigeminocardiac reflex: three case reports","volume":"50","author":"Usami K","year":"2010","unstructured":"Usami K, Kamada K, Kunii N, Tsujihara H, Yamada Y, Saito N. Transient asystole during surgery for posterior fossa meningioma caused by activation of the trigeminocardiac reflex: three case reports. Neurol Med Chir (Tokyo). 2010;50(4):339\u2013342.10.2176\/nmc.50.339"},{"issue":"5","key":"b18","series-title":"Minerva Anestesiol","first-page":"309","article-title":"Remifentanil vs fentanyl with a target controlled propofol infusion in patients undergoing craniotomy for supratentorial lesions","volume":"72","author":"Del Gaudio A","year":"2006","unstructured":"Del Gaudio A, Ciritella P, Perrotta F,  Remifentanil vs fentanyl with a target controlled propofol infusion in patients undergoing craniotomy for supratentorial lesions. Minerva Anestesiol. 2006;72(5):309\u2013319."},{"key":"b19","article-title":"Transcutaneous cardiac pacing technique","author":"Sovari AA","unstructured":"Sovari AA. Transcutaneous cardiac pacing technique. Medscape. Updated December 13, 2020. Accessed March 2, 2021. https:\/\/emedicine.medscape.com\/article\/98939-technique."},{"issue":"11","key":"b20","series-title":"Am J Emerg Med","doi-asserted-by":"publisher","first-page":"2090","DOI":"10.1016\/j.ajem.2016.07.022","article-title":"The efficacy of transcutaneous cardiac pacing in ED","volume":"34","author":"Bektas F","year":"2016","unstructured":"Bektas F, Soyuncu S. The efficacy of transcutaneous cardiac pacing in ED. Am J Emerg Med. 2016;34(11):2090\u20132093.10.1016\/j.ajem.2016.07.022"},{"issue":"5","key":"b1","series-title":"Medicine (Baltimore)","doi-asserted-by":"publisher","first-page":"e484","DOI":"10.1097\/MD.0000000000000484","article-title":"Trigeminal cardiac reflex: new thinking model about the definition based on a literature review","volume":"94","author":"Meuwly C","year":"2015","unstructured":"Meuwly C, Golanov E, Chowdhury T, Erne P, Schaller B. Trigeminal cardiac reflex: new thinking model about the definition based on a literature review. Medicine (Baltimore). 2015;94(5):e484.10.1097\/MD.0000000000000484"},{"issue":"3","key":"b2","series-title":"J Neurosurg Anesthesiol","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1097\/ANA.0b013e3181a2bf22","article-title":"The trigemino-cardiac reflex: an update of the current knowledge","volume":"21","author":"Schaller B","year":"2009","unstructured":"Schaller B, Cornelius JF, Prabhakar H,  The trigemino-cardiac reflex: an update of the current knowledge. J Neurosurg Anesthesiol. 2009;21(3):187\u2013195.10.1097\/ANA.0b013e3181a2bf22"},{"key":"b3","series-title":"J Neurosurg Anesthesiol","article-title":"Brain and heart crosstalk during neurointerventional procedures: the role of the trigeminocardiac reflex: an updated systematic review","author":"Chowdhury T","unstructured":"Chowdhury T, Rizk AA, Azazi EA, Venkatraghavan L, Shankar JS, Schaller B. Brain and heart crosstalk during neurointerventional procedures: the role of the trigeminocardiac reflex: an updated systematic review. J Neurosurg Anesthesiol. Published online August 28, 2020. doi: https:\/\/doi.org\/10.1097\/ANA.0000000000000723."},{"issue":"3","key":"b4","series-title":"J Neurosurg Anesthesiol","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1097\/ANA.0b013e3182204c2c","article-title":"Trigeminocardiac reflex during temporary clipping in aneurismal surgery: first description","volume":"23","author":"Spiriev T","year":"2011","unstructured":"Spiriev T, Kondoff S, Schaller B. Trigeminocardiac reflex during temporary clipping in aneurismal surgery: first description. J Neurosurg Anesthesiol. 2011;23(3):271\u2013272.10.1097\/ANA.0b013e3182204c2c"},{"issue":"10","key":"b5","series-title":"No Shinkei Geka","first-page":"903","article-title":"A case of trigeminocardiac reflex in the pterional approach. Article in Japanese","volume":"40","author":"Kitabayashi M","year":"2012","unstructured":"Kitabayashi M, Nakamura K, Murata T. A case of trigeminocardiac reflex in the pterional approach. Article in Japanese. No Shinkei Geka. 2012;40(10):903\u2013907."},{"issue":"8","key":"b6","series-title":"Jpn J Neurosurg","doi-asserted-by":"publisher","first-page":"673","DOI":"10.7887\/jcns.23.673","article-title":"Transient asystole during surgery for intracranial unruptured aneurysms caused by excitation of the trigemino-vagal reflex: two case reports","volume":"23","author":"Shibata T","year":"2014","unstructured":"Shibata T, Sakai N, Tani S,  Transient asystole during surgery for intracranial unruptured aneurysms caused by excitation of the trigemino-vagal reflex: two case reports. Jpn J Neurosurg. 2014;23(8):673\u2013677.10.7887\/jcns.23.673"},{"issue":"12","key":"b7","series-title":"Brain Sci","doi-asserted-by":"publisher","first-page":"973","DOI":"10.3390\/brainsci10120973","article-title":"Trigeminocardiac reflex induced by maxillary nerve stimulation during sphenopalatine ganglion implantation: a case series","volume":"10","author":"Hammad Y","year":"2020","unstructured":"Hammad Y, Mootz A, Klein K, Zuniga JR. Trigeminocardiac reflex induced by maxillary nerve stimulation during sphenopalatine ganglion implantation: a case series. Brain Sci. 2020;10(12):973.10.3390\/brainsci10120973"},{"issue":"5","key":"b8","series-title":"Anaesthesia","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1111\/j.1365-2044.1988.tb09042.x","article-title":"Bradycardia and facial surgery [letter]","volume":"43","author":"Shelly MP","year":"1988","unstructured":"Shelly MP, Church JJ. Bradycardia and facial surgery [letter]. Anaesthesia. 1988;43(5):422.10.1111\/j.1365-2044.1988.tb09042.x"},{"issue":"2","key":"b9","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"215","DOI":"10.3171\/jns.1999.90.2.0215","article-title":"Trigeminocardiac reflex during surgery in the cerebellopontine angle","volume":"90","author":"Schaller B","year":"1999","unstructured":"Schaller B, Probst R, Strebel S, Gratzl O. Trigeminocardiac reflex during surgery in the cerebellopontine angle. J Neurosurg. 1999;90(2):215\u2013220.10.3171\/jns.1999.90.2.0215"},{"issue":"5","key":"b10","series-title":"J Japan Soc Clin Anesth","doi-asserted-by":"publisher","first-page":"795","DOI":"10.2199\/jjsca.32.795","article-title":"Cardiac arrest during endoscopic transsphenoidal pituitary surgery","volume":"32","author":"Onodera Y","year":"2012","unstructured":"Onodera Y, Takaoka S, Oda S,  Cardiac arrest during endoscopic transsphenoidal pituitary surgery. J Japan Soc Clin Anesth. 2012;32(5):795\u2013797.10.2199\/jjsca.32.795"},{"issue":"6","key":"b11","series-title":"Clin Neurol Neurosurg","doi-asserted-by":"publisher","first-page":"468","DOI":"10.1016\/j.clineuro.2004.12.004","article-title":"Trigemino-cardiac reflex during transsphenoidal surgery for pituitary adenomas","volume":"107","author":"Schaller B","year":"2005","unstructured":"Schaller B. Trigemino-cardiac reflex during transsphenoidal surgery for pituitary adenomas. Clin Neurol Neurosurg. 2005;107(6):468\u2013474.10.1016\/j.clineuro.2004.12.004"},{"key":"b12","series-title":"BMJ Case Rep","doi-asserted-by":"publisher","first-page":"bcr2017221033","DOI":"10.1136\/bcr-2017-221033","article-title":"Posterior meningeal artery DMSO injection resulting in reproducible asystole prior to Onyx therapy of a dural arteriovenous fistula: a previously undescribed variant of the trigeminocardiac reflex or a new phenomenon?","volume":"2017","author":"Crockett MT","year":"2017","unstructured":"Crockett MT, Robinson AE, Aneja H, Phillips TJ. Posterior meningeal artery DMSO injection resulting in reproducible asystole prior to Onyx therapy of a dural arteriovenous fistula: a previously undescribed variant of the trigeminocardiac reflex or a new phenomenon? BMJ Case Rep. 2017;2017:bcr2017221033.10.1136\/bcr-2017-221033"},{"issue":"3","key":"b13","series-title":"J Neurosurg Anesthesiol","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1097\/ANA.0b013e31804e45e8","article-title":"Sudden cardiac standstill during skin flap elevation in a patient undergoing craniotomy","volume":"19","author":"Prabhakar H","year":"2007","unstructured":"Prabhakar H, Rath GP, Arora R. Sudden cardiac standstill during skin flap elevation in a patient undergoing craniotomy. J Neurosurg Anesthesiol. 2007;19(3):203\u2013204.10.1097\/ANA.0b013e31804e45e8"},{"issue":"6","key":"b14","series-title":"Can J Anaesth","doi-asserted-by":"publisher","first-page":"757","DOI":"10.1007\/BF03008454","article-title":"Trigeminocardiac reflexes: maxillary and mandibular variants of the oculocardiac reflex","volume":"38","author":"Lang S","year":"1991","unstructured":"Lang S, Lanigan DT, van der Wal M. Trigeminocardiac reflexes: maxillary and mandibular variants of the oculocardiac reflex. Can J Anaesth. 1991;38(6):757\u2013760.10.1007\/BF03008454"},{"issue":"9342","key":"b15","series-title":"Lancet","doi-asserted-by":"publisher","first-page":"1267","DOI":"10.1016\/S0140-6736(02)11314-6","article-title":"International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial","volume":"360","author":"Molyneux A","year":"2002","unstructured":"Molyneux A, Kerr R, Stratton I,  International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial. Lancet. 2002;360(9342):1267\u20131274.10.1016\/S0140-6736(02)11314-6"},{"issue":"3","key":"b16","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"771","DOI":"10.3171\/2018.8.JNS181846","article-title":"Ten-year analysis of saccular aneurysms in the Barrow Ruptured Aneurysm Trial","volume":"132","author":"Spetzler RF","year":"2019","unstructured":"Spetzler RF, McDougall CG, Zabramski JM,  Ten-year analysis of saccular aneurysms in the Barrow Ruptured Aneurysm Trial. J Neurosurg. 2019;132(3):771\u2013776.10.3171\/2018.8.JNS181846"},{"issue":"4","key":"b17","series-title":"Neurol Med Chir (Tokyo)","doi-asserted-by":"publisher","first-page":"339","DOI":"10.2176\/nmc.50.339","article-title":"Transient asystole during surgery for posterior fossa meningioma caused by activation of the trigeminocardiac reflex: three case reports","volume":"50","author":"Usami K","year":"2010","unstructured":"Usami K, Kamada K, Kunii N, Tsujihara H, Yamada Y, Saito N. Transient asystole during surgery for posterior fossa meningioma caused by activation of the trigeminocardiac reflex: three case reports. Neurol Med Chir (Tokyo). 2010;50(4):339\u2013342.10.2176\/nmc.50.339"},{"issue":"5","key":"b18","series-title":"Minerva Anestesiol","first-page":"309","article-title":"Remifentanil vs fentanyl with a target controlled propofol infusion in patients undergoing craniotomy for supratentorial lesions","volume":"72","author":"Del Gaudio A","year":"2006","unstructured":"Del Gaudio A, Ciritella P, Perrotta F,  Remifentanil vs fentanyl with a target controlled propofol infusion in patients undergoing craniotomy for supratentorial lesions. Minerva Anestesiol. 2006;72(5):309\u2013319."},{"key":"b19","article-title":"Transcutaneous cardiac pacing technique","author":"Sovari AA","unstructured":"Sovari AA. Transcutaneous cardiac pacing technique. Medscape. Updated December 13, 2020. Accessed March 2, 2021. https:\/\/emedicine.medscape.com\/article\/98939-technique."},{"issue":"11","key":"b20","series-title":"Am J Emerg Med","doi-asserted-by":"publisher","first-page":"2090","DOI":"10.1016\/j.ajem.2016.07.022","article-title":"The efficacy of transcutaneous cardiac pacing in ED","volume":"34","author":"Bektas F","year":"2016","unstructured":"Bektas F, Soyuncu S. The efficacy of transcutaneous cardiac pacing in ED. Am J Emerg Med. 2016;34(11):2090\u20132093.10.1016\/j.ajem.2016.07.022"}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/2\/7\/article-CASE21198.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/2\/7\/article-CASE21198.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/2\/7\/article-CASE21198.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T14:53:38Z","timestamp":1770303218000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/2\/7\/article-CASE21198.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,16]]},"references-count":40,"journal-issue":{"issue":"7"},"URL":"https:\/\/doi.org\/10.3171\/case21198","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,16]]}}}